Under general direction of the Deputy Director - Managed Care/Patient Accounting, this single-position classification administers, coordinates, and directs various revenue cycle functions (e.g., registration/admitting, charge capture, financial assistance/enrollment, cash posting/deposits, Health Information Management (HIM) and Utilization Review (UR), patient billing/collections) of the health, hospital, and ambulatory care system.
Duties may include but are not limited to the following:
Develops and maintains processes and controls in compliance with regulatory requirements; analyzes new legislation and regulatory changes to determine impact on revenue cycle; advises managers and executives accordingly and devises strategies for coping and complying with changes;
Conducts studies of operating issues, automation systems, procedures, work assignments, and forms and recommends changes to increase the efficiency and effectiveness of unit operations; participates in the development of new programs to facilitate long- and short-term strategies and financial plan objectives; recommends, develops, and implements fiscal policies and procedures and oversees implementation of new operational programs or automated systems;
Provides leadership; develops, directs, and manages a high-functioning revenue cycle, patient accounting/billing team that includes manager and supervisor levels to assist with delegation and oversight; guides and directs subordinate supervisors on aspects of the revenue functions (registration, admitting, billing, collections, UR, Case Management and HIM), professional fee coding, charge description master, and charge capture functions;
Directs and manages patient accounts receivable to ensure appropriate billing and collections to optimize cash flow;
Collaborates with agency management to improve reimbursement of services rendered and profitability of product lines; identifies and develops appropriate reports for various levels of management, implementing/integrating performance indicators and benchmarks into them;
Prepares annual goals and objectives for areas of responsibility, involving subordinates in the process;
Acts as liaison to state and federal agencies and client organizations/departments regarding operational issues and policies; as needed, represents the County in audits, hearings, and various inter-governmental task forces/committees;
Assists patients, physicians, and visitors in resolving the more complex admitting, charge coding, billing, and/or collection problems; and
Performs other related duties as required.
NECESSARY SPECIAL REQUIREMENTS
Possession of a Bachelor's degree in Business, Public, or Health Care Administration or in a related field, AND
At least five (5) years of experience managing a patient business services department in an acute care hospital system.
Revenue cycle and billing experience in a healthcare environment.
Must possess and maintain a valid California driver license.
A Master's degree in Business, Public, or Health Care Administration or in a related field.
Experience as described above in the public sector.
Revenue Cycle or Patient Accounting certification from the Healthcare Financial Management Association (HFMA).
Additional Salary Information:
General salary increase of 1.5% effective January 14, 2018.
Educational Incentive: 2.5% for completion of an associate degree, 3.5% for completion of a bachelor's degree, or 5% for completion of a Master's degree.
Annual Leave Redemption: up to 100 hours of Annual Leave per year.
Deferred Compensation: Eligible to participate in the Section 457 Plan and/or in the County's 401(k) Shared Savings Plan with up to a 3% match on your 401(k) contributions.
Flexible Credit Allowance: This bi-weekly amount is available for the purpose of purchasing medical, dental, and/or vision insurance from a group of authorized plans. Employees may also participate in a Flexible Spending Account which increases spending power by reimbursing them with pre-tax dollars for IRS approved dependent care and health care expenses.
Pension Plan: Participation in the County's defined pension plan.
Bilingual Incentive: Premium pay determined by exam based on proficiency level: $.65 per hour (Level I), $.80 per hour (Level II), or $1.10 per hour (Level III).
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